Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $114.82	Professional		$52.48	$67.61	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $112.20	Professional		$85.11	$85.11	$112.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $134.90	Facility		$93.33	$93.33	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $93.33	Professional		$67.61	$67.61	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $194.98	Professional		$89.13	$141.25	$194.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $131.83 / $173.78	Facility		$47.86	$131.83	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $109.65	Professional		$58.88	$67.61	$109.65